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HomeMy WebLinkAboutBLDE-24-469 beachwood/lyndale 3/25/24 3:39 PM about:blank Commonwealth of Massachusetts ov • 174411. Town of Yarmouth 3 o E ELECTRICAL PERMIT Job Address: 0 SOUTH SHORE DR Unit: ctl (4 `1 ki0/1-4. Owner Name: TOWN OF YARMOUTH Owner's Address: 1146 ROUTE 28 Phone: Email: Purpose of Building Commercial Utility Authorization No.: 16361247 Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-469 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead El Underground❑ No. of Meters: Description of Proposed Electrical Installation: Temporary service for dewatering pumps (Sewer project) No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW: No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 0 Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 0 Work to Start: March 25, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: PATRICK . LEWIS License Number: 56834 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: WEST ROXBURY, MA, 02132 WEST ROXBURY MA 02132 Fee Paid: $0.00 Email: Paulb@revoliconst.com Business Telephone: 5085202350 INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. INSURANCE: 3 t z L-17 ?/- ( ALO about:blank 1/1 "/ G ( (4'D 3(') 2147 /` tt/ yy� 1.o+wntdnn;swfth t+�7//w+eoshwAeff� Official[)68 flhkj�. ,v � �w _ SJ�7?� c 71 Patriot?(rj. '� ��. ' t;,,A (kcupiutcy and Fee Checked i .t ' "c BOARD OF FIRE PREVENTION REGULATIONS Itev. 1t07) Alcavc blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All%oil to be pelf finned in 81C0XXIMICe with the Msrssr huaetta Electric al Code(MEC), 27 C R 12.04 r/ (PLEASE PR!'VT IN INK OR T}'PE ALL INFOi7AfATJ() ),, Dote:. "�_,-� t-"J �,,.- City or Town of: (i.V V 1,E1' `_\..,V To the Inspector f Wires: i By this application the undersigned gives notice of his or her intention to perfonn the electrical work described below Location(Street& Number) Owner or Tenant .r Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Boa) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd I] No.of Meters New Service ,„ Amps 1 Volts Overhead❑ Undgrd' No.of Meters 1 Number of Feeders and Ampacity e v 1 Location and Nature of Proposed Electrical Work: t l etgc k-l A l ') 2 6)c.. S}`1 6 ff., OE' J z Completion of the following table may be waived by the lnr ectar of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA ANo.of Luminaire Outlets No.of Hot Tubs Generators KVA At- No.of Luminaires Swimming Pool Above ❑in- 0 No.of k.mergency Lighting grnd. grnd. Battery Units '4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners "No.of Detection and I Initiating Devices IU No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons , No.of Waste Disposers Heat Pump Nmb uer Tons KW Ni 'o.of Self-Contained Totals: Detection/AlertingY_nevices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:; No.of bevices or Equivalent No.of Water NW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydroassage Bathtubs tio.of Motors Total HP 'Telecommunications Wiring: nt No.of Devices or Equivalent OTHER: Attach additional detail if desired.or as required by the inspector of tt'ires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force.and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) /certify,under the pains land penalties of perjury, L ,thath the information on this application is true and complete. /�*, FIRM NAME: ` '�'V'>-) ( t el (.' �i'\H . LIC.NO.:_) ;} Licensee: 1' r 4� Signature` I.lC.NO.: /If appiicahfr enter exempt'.in the license number line i Bus.Tel.No.' _ Address: 111 Alt.TeL No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hose the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I inn the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. ` PERMIT FEE:$ 1 Go tilt' Maps 199 S Shore Dr rit Yarmouth,Massachusetts Google Street View w `. .�P :' IVI 3 4, Oct 2023 See more dates E �. ,. n 1 �< K, z . , Is 4.4,,,t7:4,'.' ‘',..s.,, .1e,' '",74:A4r!,..',A.Nt.-'4 .),>-, a ,�is � -x; ��" � � ,w � � � a ',. r ` *--7,_-",*,.',,,,4" .t.'„.•":" ..,,..e .,,,.1m,..:4. t , 4 4...„. „8„.„:.„...„,.,. _:„..„,„..,...1 t ■■ ? I, ' fir. , r a. , :1.,4,,,,,;-k,,,,÷tr_4fi,,,,....,,,4, s , , ,,,, __ , ,t: ..,,,t ,,,..„,,;z,,,,,.. 1 ...-,... .16..i.,,,i,ot.„. .1.441,,,,,.. Ir x.,.. ,,..,51.-.-,,,..,:s.,T,_,.,._,,l...14, , ,,,,,, ,.,, _.„...„,_ 1., .,,,,... , t .: • .....,,....40,0w.:t_,..r.,..4,,,,,.,,„rA :, ., ,,,..„. '71 .''..'':','.'' '97'''It" "i". -71:: '.',',''''"'' ' '-'2:*":"'V".2;, '-'- '` -,'• '' :Ik''',',4 'IZT1 ''''' "*. y : b GooC E'.$33 Y _ <# �. a< a.+ I "% s . Image capture:Oct 2023 ©2024 Google ,,yoft� s c, c II reeze and Ch we The 1prnDC4ran.V' p ' `b - ,<G:'IN to + . a .S. :os"' .'. ' .,• -x'. • `F —1--5 8 L IN G,. R;,).. Additional Equipment: Generator: KW: Phase: Purpose: Motor(S) : Total# : Largest HP: Phase: Locked Rotor AMP: Type of Starting Compensation (choose one): Hard Soft Capacitor VFD *See Article 802 of Eversource Information and Requirements Book for Maximum LR current and Three Phase Protection * Contact Name (circle appropriate): Customer/Contractor/Consultant: Revoli Construction Co. Inc. (Paul Bunker) Street Address: 90 Earls Way City, State, Zip: Franklin, MA. 02038 Telephone: 978-815-7825 Best Time to Call: 7am-5pm Pager: Fax: 508-520-2355 Cell: 9788157825 Electrician: Patrick Lewis License Number: 23565-A Business Name: HMS Street Address: 351 Grove St. City, State, Zip: West Roxbury, MA. 02132 Telephone: 6179471526 Best Time to Call: 7am-5pm Pager: Fax: Cell: 6719471526 Please note that by Interconnecting with Eversource's Distribution System the Customer of Record acknowledges that they have reviewed and are in compliance with the Eversource Information & Requirements for Electric Service (Blue Book). For New Commercial Services, New Residential Developments, New 13.8KV Two Line Station Electric Service, please provide (2) copies of City/Town approved site plans that illustrates the new facility location and the proposed location of the new utilities (electric, gas, water, sewer, telecommunications) and a One-Line Diagram. For Service Increases at existing facilities, please submit a One-Line Diagram if available. For New Residential Services where a pole must be set, please provide (2) copies of a site plan that illustrates the proposed location of the new facilities. For Temporary Service Requests, please provide (2) copies of a site plan illustrating service location. You may Fax this Form or mail any additional correspondence to: Brian Mello Eversource Energy 50 Duchaine Blvd. New Bedford, MA, 02745 Tel: (508) 441 — 5832 brian.niello i,evcrsourcc.com FOR EVERSOURCE USE ONLY Eversource Revenue Allowance: Eversource Rate: KVA or KW rating of Existing Loads (if applicable): Existing Winter Peak Demand: Month/Date/Year: Existing Summer Peak Demand:_ Month/Date/Year: EVERS=URGE ENERGY Work Order Application v 2- Customer Request In-Service Date: Eversource WO Received Date: Service Address: Street: 8 Lyndale Rd. (Back) or S.Shore Dr. & Beachwood Rd. Town: Yarmouth Zip: 02664 Customer of Record: Customer Responsible for Payment of Monthly Electric Bills Name to appear on Monthly Bill: Revoli Construction Co. Inc. DBA—C/O Name: Billing Address: 90 Earls Way Franklin, MA. 02038 Telephone: 508-520-2350 Tax ID Number: 04-2897790 Existing Account or Meter Number (if applicable): Property Owner Name (if different from above): Town of Yarmouth Owner Address: 74 Town Brook Rd. Yarmouth MA. 02664 Owner Phone Number: 508-398-2231 Party Responsible for Construction costs associated with work order(if different from above) Name: Revoli Construction Co. Inc. Address: 90 Earls Way Franklin% MA. 02038 Phone Number: 508-520-2350 Please Note that Articles of Incorporation are required for new commercial Eversource Customers Type of Service Requested: (Circle Appropriate) New Service Service Upgrade Service Relocation em•orary Pole Relocation Disconnect/Reconnect Service Removal e e " OH Service from Pole, Pole#:22/ses s.Shore Dr.. UG Service from; Riser-Pole#: Customer Loading Brief Description of Work Temporary service for dewaterinq purposes for Type of Load New Connected Load in KVA Town of Yarmouth Sewer Project. Single Phase ' Three Phase Lghting Electric heat Air Conditioning Refrigeration Cooking _. Electric Dryer Water Heater Computer w _ Process Equip. Motors/Elevators <30 KvA Miscellaneous _ Totals <30 KvA Number of Meters Required: Residential: Commercial: 1 Public: Main Switch Voltage: 240 Amperage: 200 Phase: Single Service Voltage: 240 Amperage: 200 Phase: Single Facility Type (i.e.: school, hospital): Outdoor Temporary Service New Building Square Feet: If more than 1 meter is required, how will meters be labeled? (ie: Unit 1, 2, etc, Unit A, B, etc.) Go gle Maps 192 S Shore Dr Yarmouth,Massachusetts 't Google Street View "s ; N"a Oct 2023 See more dates ' «.` r ., .s�'=- A\-.. 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